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Marine Envenomation.

Abstract Venomous aquatic animals are hazardous to swimmers, surfers, divers, and fishermen. Exposures include mild stings, bites, abrasions, and lacerations. Severe envenomations can be life threatening. This article reviews common marine envenomations, exploring causative species, clinical presentation, and current treatment recommendations. Recommendations are included for cnidaria, sponges, bristle worms, crown-of-thorns starfish, sea urchins, venomous fish, stingrays, cone snails, stonefish, blue-ringed octopus, and sea snakes. Immediate and long-term treatment options and management of common sequelae are reviewed. Antivenom administration, treatment of anaphylaxis, and surgical indications are discussed.
PMID
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Authors

Mayor MeshTerms
Keywords

Crown-of-thorns

Jellyfish

Marine antivenom

Marine envenomation

Sea snake

Sea urchin

Seabather’s eruption

Stingray

Journal Title emergency medicine clinics of north america
Publication Year Start




PMID- 28411930
OWN - NLM
STAT- MEDLINE
DA  - 20170416
DCOM- 20170421
LR  - 20170421
IS  - 1558-0539 (Electronic)
IS  - 0733-8627 (Linking)
VI  - 35
IP  - 2
DP  - 2017 May
TI  - Marine Envenomation.
PG  - 321-337
LID - S0733-8627(16)30118-3 [pii]
LID - 10.1016/j.emc.2016.12.004 [doi]
AB  - Venomous aquatic animals are hazardous to swimmers, surfers, divers, and
      fishermen. Exposures include mild stings, bites, abrasions, and lacerations.
      Severe envenomations can be life threatening. This article reviews common marine 
      envenomations, exploring causative species, clinical presentation, and current
      treatment recommendations. Recommendations are included for cnidaria, sponges,
      bristle worms, crown-of-thorns starfish, sea urchins, venomous fish, stingrays,
      cone snails, stonefish, blue-ringed octopus, and sea snakes. Immediate and
      long-term treatment options and management of common sequelae are reviewed.
      Antivenom administration, treatment of anaphylaxis, and surgical indications are 
      discussed.
CI  - Copyright (c) 2016 Elsevier Inc. All rights reserved.
FAU - Hornbeak, Kirsten B
AU  - Hornbeak KB
AD  - Department of Emergency Medicine, Stanford Kaiser Emergency Medicine Residency,
      300 Pasteur Drive, Alway Building M121, MC 5119, Stanford, CA 94305-2200, USA.
      Electronic address: [email protected]
FAU - Auerbach, Paul S
AU  - Auerbach PS
AD  - Department of Emergency Medicine, Stanford University School of Medicine, 300
      Pasteur Drive, Alway Building M121, MC 5119, Stanford, CA 94305-2200, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170315
PL  - United States
TA  - Emerg Med Clin North Am
JT  - Emergency medicine clinics of North America
JID - 8219565
RN  - 0 (Antivenins)
RN  - 0 (Fish Venoms)
RN  - 0 (Marine Toxins)
RN  - 0 (Mollusk Venoms)
SB  - IM
MH  - Antivenins/therapeutic use
MH  - Bites and Stings/complications/*therapy
MH  - Emergency Medical Services
MH  - First Aid/methods
MH  - Fish Venoms/*poisoning
MH  - Humans
MH  - Marine Toxins/*poisoning
MH  - Mollusk Venoms/*poisoning
OTO - NOTNLM
OT  - Crown-of-thorns
OT  - Jellyfish
OT  - Marine antivenom
OT  - Marine envenomation
OT  - Sea snake
OT  - Sea urchin
OT  - Seabather's eruption
OT  - Stingray
EDAT- 2017/04/17 06:00
MHDA- 2017/04/22 06:00
CRDT- 2017/04/17 06:00
AID - S0733-8627(16)30118-3 [pii]
AID - 10.1016/j.emc.2016.12.004 [doi]
PST - ppublish
SO  - Emerg Med Clin North Am. 2017 May;35(2):321-337. doi: 10.1016/j.emc.2016.12.004. 
      Epub 2017 Mar 15.

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